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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diabetes, Control With Ayurvedic Medicines,done Fasting Sugar Level, PP, Doing Exercise

My husband daigonsis with sugar 6 month back . He controlled with medicines first now from last 3 month he is only taking ayurveda medicine and exercise alots. His last 3 reports are as follows: fasting Sugar level - 82 and PP -100 ( Jan 2012) , Fasting - 86 , PP- 121 ( Feb) , Fasting - 96 PP- 131( March). What does it mean?
Mon, 4 Jun 2012
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Emergency Medicine Specialist 's  Response
DEAR AASTHA NEERAJ,

HI I AM DR.KAVITHA.I WOULD LIKE YO HELP YOU.

FIRST HOW WAS YOUR HUSBAND DIAGNOSED 6 MONTHS BACK?WAS IT BASED ON A SINGLE HIGH BLOOD SUGAR VALUE?WAS IT "CONFIRMED" WITH A GTT(GLUCOSE TOLERANCE TEST) ?

DIABETES MELLITUS IS A DISEASE WHERE THE INSULIN PRODUCED IN THE BODY BECOMES INSUFFICIENT TO METABOLISE THE SUGAR ENTERING THE BLOOD.THERE ARE MANY REASONS WHY THIS CAN HAPPEN .LACK OF EXERCISE,OBESITY,EXCESSIVE INTAKE CAN ALL CONTRIBUTE TO UNCONTROLLED SUGAR LEVELS IN THE BODY.

IT IS OBVIOUS THAT YOUR HUSBAND HAS STARTED TAKING CARE OF HIMSELF BY EXERCISING AND DEFINITELY BY DIET CONTROL .I AM NOT AN EXPERT ON AYURVEDIC MEDICINES BUT MY ONLY ADVICE TO YOU IS THAT YOU MUST KEEP CHECKING HIS BLOOD SUGARS REGULARLY LIKE YOU HAVE BEEN DOING THESE PAST MONTHS.

AS LONG AS THEY ARE NORMAL(LIKE THESE ABOVE TESTS)HE SHOULD CONTINUE WITH HIS PRESENT REGIME WHATEVER IT IS.

ANOTHER WAY OF KEEPING TRACK OF HIS BLOOD SUGARS IS A TEST CALLED HBA1C.THIS WILL SHOW HIS AVERAGE GLUCOSE LEVELS IN THE PREVIOUS 3 MONTHS.IT IS A VERY GOOD WAY OF MONITORING BLOOD SUGAR ON A LONG TERM.

SO WHAT IT BASICALLY MEANS IS YOU HAVE MANAGED TO CORRECT WHATEVER WAS CAUSING HIS BLOOD SUGARS TO RISE (IF IT REALLY WAS RISEN IN THE FIRST PLACE) SO KEEP UP THE GOOD WORK AND KEEP MONITORING IT REGULARLY ESPECIALLY IF YOU ARE PLANNING TO CONTINUE ANY OF THE MEDICINES.

ONE MORE THING PLEASE GET A BASAL LIPID PROFILE, RENALFUNCTION TESTS,LIVER FUNCTION TESTS AND EYE CHECKUP TO ASSESS YOUR GENERAL HEALTH .PLEASE DO IT ONCE IN A YEAR AT LEAST. TAKE CARE BYE

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General & Family Physician Dr. Rakesh Parashar's  Response
Dear friend,

Your husband is doing good at the moment and wit the numbers given by you he is not a diabetic.
fasting sugar levels of 120 or PP levels of more than 180 are diagnostic of a diabetic, while fasting values of 100-120 and pp values of 140-180 are in the category of 'Impaired glucose tolerance' which means that aperson is at risk of developing diabetes.

It would be good to not get stressed about this, even if his sugar levels go up a bit at times, as this is no danger and easily controllabe these days. However, you should aim at keeping sugar below 140 , which is best done in initial stages with diet and excercise only.

Measuring glycated haemoglobin HbA1c every three or six month, would give you an idea of average sugar levels of that duration.

With current sugar levels & continuing the diet and excercise therapy, you shouldnt worry about checking sugar regularily. Once a fortnight would suffice follwing with HbA1c at three months.

Best,
Do well.
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Diabetes, Control With Ayurvedic Medicines,done Fasting Sugar Level, PP, Doing Exercise

DEAR AASTHA NEERAJ, HI I AM DR.KAVITHA.I WOULD LIKE YO HELP YOU. FIRST HOW WAS YOUR HUSBAND DIAGNOSED 6 MONTHS BACK?WAS IT BASED ON A SINGLE HIGH BLOOD SUGAR VALUE?WAS IT CONFIRMED WITH A GTT(GLUCOSE TOLERANCE TEST) ? DIABETES MELLITUS IS A DISEASE WHERE THE INSULIN PRODUCED IN THE BODY BECOMES INSUFFICIENT TO METABOLISE THE SUGAR ENTERING THE BLOOD.THERE ARE MANY REASONS WHY THIS CAN HAPPEN .LACK OF EXERCISE,OBESITY,EXCESSIVE INTAKE CAN ALL CONTRIBUTE TO UNCONTROLLED SUGAR LEVELS IN THE BODY. IT IS OBVIOUS THAT YOUR HUSBAND HAS STARTED TAKING CARE OF HIMSELF BY EXERCISING AND DEFINITELY BY DIET CONTROL .I AM NOT AN EXPERT ON AYURVEDIC MEDICINES BUT MY ONLY ADVICE TO YOU IS THAT YOU MUST KEEP CHECKING HIS BLOOD SUGARS REGULARLY LIKE YOU HAVE BEEN DOING THESE PAST MONTHS. AS LONG AS THEY ARE NORMAL(LIKE THESE ABOVE TESTS)HE SHOULD CONTINUE WITH HIS PRESENT REGIME WHATEVER IT IS. ANOTHER WAY OF KEEPING TRACK OF HIS BLOOD SUGARS IS A TEST CALLED HBA1C.THIS WILL SHOW HIS AVERAGE GLUCOSE LEVELS IN THE PREVIOUS 3 MONTHS.IT IS A VERY GOOD WAY OF MONITORING BLOOD SUGAR ON A LONG TERM. SO WHAT IT BASICALLY MEANS IS YOU HAVE MANAGED TO CORRECT WHATEVER WAS CAUSING HIS BLOOD SUGARS TO RISE (IF IT REALLY WAS RISEN IN THE FIRST PLACE) SO KEEP UP THE GOOD WORK AND KEEP MONITORING IT REGULARLY ESPECIALLY IF YOU ARE PLANNING TO CONTINUE ANY OF THE MEDICINES. ONE MORE THING PLEASE GET A BASAL LIPID PROFILE, RENALFUNCTION TESTS,LIVER FUNCTION TESTS AND EYE CHECKUP TO ASSESS YOUR GENERAL HEALTH .PLEASE DO IT ONCE IN A YEAR AT LEAST. TAKE CARE BYE